CALIFORNIA CENTER FOR MS AND NEUROLOGY INC (NPI# 1386139061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386139061 |
| Entity Type | Organization |
| Organization Name | CALIFORNIA CENTER FOR MS AND NEUROLOGY INC |
| Practice Address |
21 Tamal Vista Blvd Ste 175 Corte Madera CA 94925 |
| Mailing Address |
1091 E Bayaud Ave Apt W2604 Denver CO 80209-2783 |
| Practice Telephone | 4157638768 |
| Mailing Telephone | 4157638768 |
| Mailing Fax Number | 8316030438 |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2018-08-21 |
| Authorized Official Name | DR. SUSAN PATRICE ANZALONE (PRESIDENT, NEUROLOGIST) |
| Authorized Official Telephone | 4157638768 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| Street Address |
21 TAMAL VISTA BLVD STE 175 |
| City | CORTE MADERA |
| State | CA |
| Zip Code | 94925 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982130514 | Summer Nipomnick | Psychologist | 200 Tamal Plaza, Suite 235, Corte Madera, CA 94925 | 2017-05-02 |
| 1376784561 | Marcie Morton | Chiropractor | 2 Fifer Ave Ste 130, Corte Madera, CA 94925 | 2009-03-17 |
| 1154598365 | Kristine Kay Twite Lehnen | Registered Nurse | 42 Creekside Ct, Corte Madera, CA 94925 | 2008-05-15 |
| 1811163884 | Susan Mary Nickerson | Nurse Anesthetist, Certified Registered | 239 Koch Rd, Corte Madera, CA 94925 | 2008-04-30 |
| 1225150485 | Noreen P Dunnigan | Marriage & Family Therapist | 200 Tamal Plaza, Ste 135, Corte Madera, CA 94925 | 2007-04-06 |
| 1356477889 | Rochelle L Teising | Marriage & Family Therapist | 100 Tamal Vista, #160, Corte Madera, CA 94925 | 2007-02-26 |
| 1518019181 | Lynne Harris | Psychologist | 100 Tamal Plaza, Suite 108, Corte Madera, CA 94925 | 2007-01-17 |
| 1801975032 | Julie B Young | Dentist | 81 Casa Buena, Suite 6, Corte Madera, CA 94925 | 2006-11-06 |
| 1033294020 | Ann Margaret O'hare | Internal Medicine | 155 Golden Hind Passage, Corte Madera, CA 94925 | 2006-10-26 |
| 1093801821 | Heidi Klein Minnick | Psychologist | 21 Tamal Vista Blvd., Suite 218, Corte Madera, CA 94925 | 2006-10-05 |
| Find all providers in zip 94925 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
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| City | CORTE MADERA |
| Zip Code | 94925 |
Please comment or provide details below to improve the information on CALIFORNIA CENTER FOR MS AND NEUROLOGY INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.